Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Department of Radiology, Bristol Royal Hospital for Children, University Hospitals Bristol, Bristol, United States.
J Med Imaging Radiat Sci. 2022 Mar;53(1):65-74. doi: 10.1016/j.jmir.2021.11.006. Epub 2021 Dec 7.
To determine the quality of renal tract ultrasound (US) imaging records performed in children for evaluation of urinary tract infection (UTI) by multiple professionals with different levels of experience in a dedicated academic children's hospital.
Retrospective analysis of US images and reports for children ≤ 13-years with first presentation of a UTI. 9 Operators (6 consultant radiologists and 3 sonographers) were anonymised and the adequacy of their US images and reports were evaluated for the following categories; Image acquisition, Image labelling, Metric labelling, and Final reporting. The frequency of the reporting quality of the elements assessed was compared between radiologists and sonographers using Chi-square or fisher exact test.
Renal tract US studies for 100 children (20 males, 80 females) with first UTI episode were assessed. Mean age was 4.5 ± 3.4 years. 54% of the studies were performed by sonographers and 46% by radiologists. Kidneys and pre-micturition bladder scans were acquired in more than 96% of exams by both sonographers and radiologists. Kidney image and metric labelling was adequate in almost all exams (98-100%) with the exception of plane labelling which was not routinely done by US operators (less than 3%). Sonographers performed consistently better than radiologists in post-micturition bladder scanning, pre- and post-micturition bladder labelling and renal length reporting (p<0.05). Least to be recorded by US operators (both radiologists and sonographers) were doppler scan acquisitions (less than 3%), bladder wall thickness labelling (less than 3%), and renal calculi reporting (less than 1%).
The inconsistency of the reporting quality between the different elements assessed highlights the difference in US training and experience received by sonographers and radiologists. A pro-forma structured reporting template may ensure US operators provide consistent, thorough and good quality ultrasound images and reports.
在一家专门的儿科医院，由不同经验水平的多位专业人员对儿童尿路感染（UTI）进行尿路超声（US）检查，以确定 US 影像记录的质量。
回顾性分析了首次就诊于 UTI 的≤13 岁儿童的 US 图像和报告。将 9 名操作人员（6 名顾问放射科医生和 3 名超声科医生）匿名，并对其 US 图像和报告的充分性进行了评估，评估内容包括图像采集、图像标记、度量标记和最终报告。使用卡方或 Fisher 精确检验比较评估的各元素报告质量的出现频率在放射科医生和超声科医生之间的差异。
评估了 100 名首次发生 UTI 儿童的肾脏 US 研究（20 名男性，80 名女性）。平均年龄为 4.5±3.4 岁。54%的研究由超声科医生进行，46%由放射科医生进行。超声科医生和放射科医生均能采集到超过 96%的肾脏和排尿前膀胱扫描。几乎所有的肾脏图像和度量标记都充分（98%-100%），但平面标记没有常规进行（不到 3%）。在排尿后膀胱扫描、排尿前和后膀胱标记以及肾长度报告方面，超声科医生的表现始终优于放射科医生（p<0.05）。记录最少的是 US 操作人员（放射科医生和超声科医生）多普勒扫描采集（不到 3%）、膀胱壁厚度标记（不到 3%）和肾结石报告（不到 1%）。
不同评估要素报告质量的不一致性突出了超声科医生和放射科医生之间接受的 US 培训和经验的差异。使用预格式化的结构化报告模板可以确保 US 操作人员提供一致、全面和高质量的超声图像和报告。
